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Features include always present findings: Secondary amenorrhea, Elevated circulating luteinizing hormone level, Female infertility, and Elevated circulating follicle stimulating hormone level.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Hormones | 2 | Secondary amenorrhea, Female infertility |
MSH4 encodes mutS homolog 4 (936 aa). Involved in meiotic recombination. Required for reciprocal recombination and proper segregation of homologous chromosomes at meiosis Highest expression in Testis (6.4 TPM) and Brain Cerebellum (2.5 TPM).
Premature ovarian failure 20 is associated with mutations in the MSH4 gene on chromosome 1.
The MSH4 protein participates in Resolution of meiotic holliday junction, Formation of meiotic holliday junction, and Meiotic recombination pathways.
MSH4 is classified as a druggable target with score 0.0.
Genetic testing for MSH4 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for premature ovarian failure 20 has been reported in the published literature.
Phenotype severity distribution: 4 always present features.
No clinical trials have been registered for premature ovarian failure 20.
87 publications have been identified in PubMed for premature ovarian failure 20. Research spans Epidemiology / Natural History (40%), Review / Meta-Analysis (32%), and Basic Science / Preclinical (11%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 35 | 40% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 4:32 PM UTC
Online Mendelian Inheritance in Man
2 |
Elevated circulating luteinizing hormone level, Elevated circulating follicle stimulating hormone level |
Research summaries
28 |
32% |
Laboratory research | 10 | 11% |
Patient case studies | 5 | 6% |
Clinical study results | 5 | 6% |
New treatment approaches | 3 | 3% |
Testing and diagnosis research | 1 | 1% |
Koyun Alvuroğlu E (2026). [PMID: 42098761](https://pubmed.ncbi.nlm.nih.gov/42098761/). *BMC Womens Health*. [Basic Science / Preclinical]
Stokar J (2026). [PMID: 41518227](https://pubmed.ncbi.nlm.nih.gov/41518227/). *Diabetes Metab Res Rev*. [Epidemiology / Natural History]
Fan M (2026). [PMID: 41850610](https://pubmed.ncbi.nlm.nih.gov/41850610/). *J Affect Disord*. [Epidemiology / Natural History]
Wilson LM (2026). [PMID: 42010102](https://pubmed.ncbi.nlm.nih.gov/42010102/). *J Gen Intern Med*. [Epidemiology / Natural History]
Pargar F (2026). [PMID: 41527583](https://pubmed.ncbi.nlm.nih.gov/41527583/). *Health Sci Rep*. [Gene Therapy / Novel Therapeutics]
Zhu Z (2026). [PMID: 41928129](https://pubmed.ncbi.nlm.nih.gov/41928129/). *BMC Pregnancy Childbirth*. [Case Report / Case Series]
Sopiarz N (2026). [PMID: 36943992](https://pubmed.ncbi.nlm.nih.gov/36943992/). *Unknown Journal*. [Review / Meta-Analysis]
Zhao W (2026). [PMID: 41819944](https://pubmed.ncbi.nlm.nih.gov/41819944/). *Maturitas*. [Epidemiology / Natural History]
Zhao K (2026). [PMID: 42216054](https://pubmed.ncbi.nlm.nih.gov/42216054/). *J Ovarian Res*. [Review / Meta-Analysis]
Cavadias I (2026). [PMID: 42224845](https://pubmed.ncbi.nlm.nih.gov/42224845/). *Maturitas*. [Review / Meta-Analysis]